KC TAN, M.D. MEDICAL CORPORATION
KC TAN, M.D. MEDICAL CORPORATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1215394036, based in Monterey Park, CA. The organization lists 3 taxonomy classifications, with Neuroradiology Physician recorded as primary.
Getting there
The practice address on file is 525 N GARFIELD AVE, Monterey Park, CA 91754. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A120081 | CA | Neuroradiology Physician primary |
| A120081 | CA | Diagnostic Radiology Physician |
| A120081 | CA | Vascular & Interventional Radiology… |
This provider holds licence A120081 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2062719719
Enrolled in Medicare 16 times, across 16 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| California | O20160324000980 | Part B Supplier - Clinic/group Practice |
| Alaska | O20210720003503 | Part B Supplier - Clinic/group Practice |
| Illinois | O20220429001006 | Part B Supplier - Clinic/group Practice |
| Kentucky | O20220429002098 | Part B Supplier - Clinic/group Practice |
| Florida | O20220601001120 | Part B Supplier - Clinic/group Practice |
| Oregon | O20220706003448 | Part B Supplier - Clinic/group Practice |
| Texas | O20220824003652 | Part B Supplier - Clinic/group Practice |
| Arizona | O20221019003190 | Part B Supplier - Clinic/group Practice |
| Maryland | O20230331001440 | Part B Supplier - Clinic/group Practice |
| Hawaii | O20230405003108 | Part B Supplier - Clinic/group Practice |
| New York | O20230406001405 | Part B Supplier - Clinic/group Practice |
| Oklahoma | O20230428002794 | Part B Supplier - Clinic/group Practice |
| New Jersey | O20230510003522 | Part B Supplier - Clinic/group Practice |
| Georgia | O20230821002961 | Part B Supplier - Clinic/group Practice |
| Pennsylvania | O20250703000035 | Part B Supplier - Clinic/group Practice |
| Nevada | O20251209002694 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 16 separate enrolment records across 16 states (CA, AK, IL, KY, FL, OR, TX, AZ, MD, HI, NY, OK, NJ, GA, PA, NV). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neuroradiology covers
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. NUCC Health Care Provider Taxonomy, code 2085N0700X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085N0700X | Neuroradiology Physician Neuroradiology | A120081 | CA | primary |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | A120081 | CA | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | A120081 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1215394036 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 25, 2016 |
| Last updated | Sep 10, 2025 |
| Status | Active |
| Practice address |
525 N GARFIELD AVE Monterey Park, CA 91754 (626) 522-6030 Fax (626) 782-7462 |
| Mailing address |
713 W DUARTE RD UNIT G-781 Arcadia, CA 91007 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 1 | 5 | 3 | 9 | 4 | 0 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 2 | 5 | 6 | 9 | 8 | 0 | 6 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.